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Advancements in Vascular Surgery

Many of today’s vascular procedures — surgeries on the arteries and veins — are being performed with minimally invasive techniques.

While there will always be a need for traditional surgeries, advancements in vascular surgery have made it possible for surgeons to operate through tiny puncture holes rather than large incisions. As a result, surgeons can achieve the same results from the procedure with less trauma to the patient’s body.

“Within the past decade, minimally invasive procedures have really grown in popularity,” says Russell Lam, M.D., vascular and endovascular surgeon on the medical staff at Presbyterian Hospital of Dallas. “Today, about 75 percent of the procedures performed are done through minimally invasive techniques.”

Here are just some of the minimally invasive procedures now available at Presbyterian Hospital of Dallas:

• Endografting for thoracic and abdominal aortic aneurysms. Through a small incision in the groin, surgeons on the medical staff enter the blood vessels and deploy mesh stents that prevent the aneurysm from rupturing.

• Angioplasty for peripheral vascular disease. Rather than perform open bypass surgery on blocked arteries in the legs, medical staff physicians enter the blood vessels and deploy stent grafts to prevent the aneurysm from rupturing.

• Carotid artery stenting. Physicians use angioplasty and stenting to restore blood flow instead of performing invasive surgery to clear blockages within the carotid artery in the neck to prevent strokes.

• Varicose vein treatment. With endovenous laser therapy (E.V.L.T.), physicians are able to treat varicose veins in the legs without removing the affected veins.

Source: The Society for Vascular Surgery (Summer 2008)

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